The aim of the study was to evaluate the performance of multislice computed tomography (MSCT) for the detection and semiquantitative analysis of healed myocardial infarct in comparison to single-photon emission computed tomography (SPECT). Recently, MSCT was shown to allow detection of myocardial infarct by the presence of hypoenhanced areas. However, direct comparisons to other imaging modalit...

UNLABELLED Soft-tissue attenuation artifacts generally appear as fixed perfusion-scan defects. Gated (99m)Tc-tetrofosmin SPECT may help differentiate myocardial infarction (MI) from artifacts, as fixed defects with decreased function (wall motion and thickening) probably represent MI, whereas attenuation artifacts represent preserved function. METHODS Ungated stress and gated rest (99m)Tc-tet...

The "left ventricular mass" (LVM) using Tc-99m Sestamibi SPECT imaging may be a useful parameter to quantitatively assess the left ventricle and hence its function. The LVM was determined without reorienting the images along the long axis of the left ventricle. A comparison with reoriented SPECT images was then performed. The LVM showed the expected variations among different pathological heart...

PURPOSE The purpose of this study is to the diagnostic accuracy and the value as prognostic predictors based on the perfusion and/or functional analysis using the QGS program on 99mTc-tetrofosmin gated SPECT (Tf-QGS-SPECT) in patients with unstable angina pectoris (UAP) who admitted to the CCU. METHODS Fifty seven consecutive patients (37 males and 20 females, mean age: 62 +/- 7 years) with s...

We present the case of a 65-year-old man with dyspnea and chest discomfort referred for dipyridamole myocardial perfusion scintigraphy. 99mTc-sestamibi cardiac gated SPECT images showed an irreversible hypoperfusion in the mid-ventricular portion of anteroseptal wall, a suspicious reversible hypoperfusion in the apical slices of inferolateral wall, and left ventricle dilatation with a ejection ...

UNLABELLED Cardiac resynchronization therapy (CRT) by biventricular pacing is indicated in patients with severe heart failure and left bundle branch block who remain symptomatic despite optimal medical therapy. The relationship between baseline resting perfusion pattern and hemodynamic response to CRT has not been fully investigated. We tested the usefulness of perfusion gated SPECT for baselin...

UNLABELLED This study validates a new quantitative myocardial perfusion SPECT software. METHODS The processing starts with the extraction of the morphologic skeleton of the left ventricular myocardium from reconstructed transverse sections. Fuzzy logic is used to decide whether a pixel belongs to the myocardium and any perfusion defect is filled according to a truncated bullet model. The resu...

As a 2-year project of the Japanese Society of Nuclear Medicine working group activity, normal myocardial imaging databases were accumulated and summarized. Stress-rest with gated and non-gated image sets were accumulated for myocardial perfusion imaging and could be used for perfusion defect scoring and normal left ventricular (LV) function analysis. For single-photon emission computed tomogra...

background: the implications of cardiac risk stratification before orthotopic liver transplantation (olt) are not well established. we studied the usefulness of myocardial perfusion imaging (mpi) in this scenario. methods: mpi data of 24 patients (9 females), candidates of olt, were collected. they underwent mpi as part of their preoperative risk assessment. mpis were interpreted by 2 nuclear p...

Quantitative measurement of myocardium perfusion is possible with single photon emission computed tomography (SPECT) using a semiconductor detector. However, accumulation of 99mTc-tetrofosmin in the liver may make it difficult to assess that accurately in the inferior myocardium. Our idea is to reduce the high accumulation in the liver by using dynamic SPECT imaging and a technique called time ...